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10.1177/1120672120976043 http://scihub22266oqcxt.onion/10.1177/1120672120976043 33246385!ä!33246385 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33246385&cmd=llinks): Failed to open stream: HTTP request failed! 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Is a virtual clinic model a safe and effective way for assessing patients referred with suspiciously blurred optic discs? The blurred disc clinic |pdf=|usr=}}{{33246385}} gab.com Text Is a virtual clinic model a safe and effective way for assessing patients referred with suspiciously blurred optic discs The blurred disc clinic JO: Eur J Ophthalmol http://www.kidney.de/pget.php?&tw=1&pmid=33246385 #FOAvip BACKGROUND: There are increasing numbers of referrals to ophthalmology departments due to blurred optic disc margins. In light of this and the COVID-19 pandemic we aimed to assess whether these patients could be safely assessed without direct contact between the clinician and patient. METHODS: We retrospectively reviewed the records of consecutive patients seen in our 'blurred disc clinic' between August 2018 and October 2019. We then presented anonymous information from their referral letter, their visual fields and optic nerve images to two consultant neuro-ophthalmologists blinded to the outcome of the face-to-face consultation. In the simulated virtual clinic, the two consultants were asked to choose an outcome for each patient from discharge, investigate or bring in for a face-to-face assessment. RESULTS: Out of 133 patients seen in the blurred disc clinic, six (4.5%) were found to have papilloedema. All six were identified by both neuro-ophthalmologists as needing a face-to-face clinic consultation from the simulated virtual clinic. One hundred and twenty (90%) patients were discharged from the face-to-face clinic at the first consultation. The two neuro-ophthalmologists chose to discharge 114 (95%) and 99 (83%) of these respectively from the simulated virtual clinic. The virtual clinic would have potentially missed serious pathology in only one patient who had normal optic discs but reported diplopia at the previous face-to-face consultation. CONCLUSIONS: A virtual clinic model is an effective way of screening for papilloedema in patients referred to the eye clinic with suspicious optic discs. Unrelated or incidental pathology may be missed in a virtual clinic. Twit Text FOAVip Is a virtual clinic model a safe and effective way for assessing patients referred with suspiciously blurred optic discs The blurred disc clinic ????Eur J Ophthalmol http://www.kidney.de/pget.php?&tw=1&pmid=33246385 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33246385 #FOAvip English Wikipedia <ref>{{Cite pmid|33246385}}</ref> Is a virtual clinic model a safe and effective way for assessing patients referred with suspiciously blurred optic discs? The blurred disc clinic #MMPMID33246385 Jefferis JM; Griffith N; Blackwell D; Batty R; Hickman SJ; Pepper IM Eur J Ophthalmol 2021[Nov]; 31 (6): 3456-3462 PMID33246385show ga BACKGROUND: There are increasing numbers of referrals to ophthalmology departments due to blurred optic disc margins. In light of this and the COVID-19 pandemic we aimed to assess whether these patients could be safely assessed without direct contact between the clinician and patient. METHODS: We retrospectively reviewed the records of consecutive patients seen in our 'blurred disc clinic' between August 2018 and October 2019. We then presented anonymous information from their referral letter, their visual fields and optic nerve images to two consultant neuro-ophthalmologists blinded to the outcome of the face-to-face consultation. In the simulated virtual clinic, the two consultants were asked to choose an outcome for each patient from discharge, investigate or bring in for a face-to-face assessment. RESULTS: Out of 133 patients seen in the blurred disc clinic, six (4.5%) were found to have papilloedema. All six were identified by both neuro-ophthalmologists as needing a face-to-face clinic consultation from the simulated virtual clinic. One hundred and twenty (90%) patients were discharged from the face-to-face clinic at the first consultation. The two neuro-ophthalmologists chose to discharge 114 (95%) and 99 (83%) of these respectively from the simulated virtual clinic. The virtual clinic would have potentially missed serious pathology in only one patient who had normal optic discs but reported diplopia at the previous face-to-face consultation. CONCLUSIONS: A virtual clinic model is an effective way of screening for papilloedema in patients referred to the eye clinic with suspicious optic discs. Unrelated or incidental pathology may be missed in a virtual clinic. |*COVID-19[MESH] |*Optic Disk[MESH] |Humans[MESH] |Pandemics[MESH] |Referral and Consultation[MESH] |Retrospective Studies[MESH]Is a virtual clinic model a safe and effective way for assessing patie(epmc).pdf DeepDyve Pubget Overpricing